| NPI | 1891541488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 07106) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07106) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-10-08 |